Miguel Angel Villarreal, REGISTERED DIETITIAN
Individual provider Active NPI Registered Dietitian · Greenfield, CA
NPI 1740974393 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1740974393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86111608 (CA)
- Practice address
- 216 Beech Ave
Greenfield, CA 93927-5348 - Phone
- (831) 596-4762
- NPI assigned
- Jun 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86111608 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86111608 | CA | Yes |
Addresses
Primary practice location
216 Beech Ave
Greenfield, CA 93927-5348
Mailing address
216 Beech Ave
Greenfield, CA 93927-5348
Phone (831) 596-4762
Other providers in Greenfield, CA
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- Jennifer Trujillo
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- Angela Villalobos-Campbell
- Amalia Vradenburg
- Tirzah Monique Wells
- David Sumner Lucas Willey
- Yesenia Zavala
- Ding Hong Zhang
All providers in Greenfield, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.